Forensic Psychiatry

Question 1

Clinical vs. forensic

Answer 1

Forensice - goal is to assess for a sepcific purpose…verify as much as possibly…opinions speak for themselves…assess reasonableness of current tx…opine on causation

Clinical - goal is to treat…advocate for patient

Btoh - diagnose and give prognosis

Question 2

Criminal evals

Answer 2

Compency to stand trial
Resotration of competency
Insantiy
Post-conviction snetencing hearings

Question 3

TBI
Workers comp
Occupational law
Malpractice

Answer 3

Mental status exam
Psych symptoms following work related
Hiring and firing
Prosecution and defence

Question 4

Malingering

Answer 4

Separates forensic from clinical exam

Deliberate and conscious simulation of symptoms, idsorders, and incapacities that are not authenrtic

Question 5

How to detect malingering

Answer 5

Corrodorating evidence
Bizarre recollections
Verbal description of sx w/out even subtle physical indications
Inconsistent reuslts

Question 6

When to diagnose as malingering

Answer 6

Reported sx do not match activity
Absurd sx
Flucutations in sx
Unexpected med rxns

Question 7

4 Ds of malpractice

Answer 7

Dereliction of duty (standard of care)
Direct causation between physician action and injury
Existaence of damages

Question 8

Harming selves
Sexual activity
Abandonment

Answer 8

Currently civil commitment is SOC for suicidal patients

Even former patients

Even if patient threatens you, must give opportunity (3 months of meds) to find another

Question 9

To prove malpractice

Answer 9

Pt must demonstrate hamr AND that a reasonable person with all information would have refused

Question 10

Exceptions to involuntary commitment

Answer 10

Mentally ill
who is Threat to self or others as result of mentally ill
Who could benefit from tx
For whom hospitalization is least restrictive mode of tx available

Question 11

Dangerousness

Answer 11

Cliniicians have duty to protect pts and others

Must warn individuals who have been threatened

Last resort is to call police